Complaint·April 11, 2025

LIC 9099-C Allegation: Due to lack of supervision, resident assaulted another resident. The Department conducted interviews and file reviews. Based on file review of R1's care plan revealed R1 calls ombudsman for issues and needs outlet for complaints. R1's medical assessment indicated R1 is non-ambulatory physically and mentally with active problem of schizo affective disorder. File review of communication log revealed on March 26, 2025 R1 was observed to have a large upper arm bruising and will be going to the emergency room for evaluation. File review revealed on March 28, 2025 was when the alleged altercation occurred which R1 reported to S1. Interview conducted with S1 revealed S1 conducted an investigation and found that R2 "touched" R1's hand but did not hit R1. S1 stated R1 was satisfied with the response. On March 29, 2025, R1 then went to the emergency room to evaluate further new bruising on R1's chest area. Interview conducted with Assistant Administrator revealed there are at least two caregivers and one medication technican for AM and PM shift, and one staff for NOC shift. Assistant Administrator stated R1 takes Warfarin which causes usual bruises, R1 has the tendency of not fully speaking the truth as R1 has the diagnosis of schizo affective disorder. Interview with Assistant Administrator revealed R2 does not have a history of physical aggression to staff and residents in care. Based on information obtained, the allegation listed above is UNFOUNDED, meaning that the allegation was false, could not have happened and/or is without a reasonable basis. Exit interview conducted and a copy of the report was provided.